PROVIDENCE PEDIATRIC MEDICAL DAYCARE INC. NPI 1720247091

NPI Information

PROVIDENCE PEDIATRIC MEDICAL DAYCARE, INC. is a medically fragile infants and children day care clinic center in Atlantic City, NJ. The provider is an entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). PROVIDENCE PEDIATRIC MEDICAL DAYCARE, INC. NPI is 1720247091. The provider is registered as an organization entity type.

The provider's business location address is:

35 S ANNAPOLIS AVE
ATLANTIC CITY, NJ
ZIP 08401-927
Phone: (609) 345-2340
Fax: (609) 345-3021

The provider's authorized official is Leeanna Roman .
The authorized official title is President and has the following contact phone number (856) 753-7763.

The enumeration date for this NPI number is 6/3/2008 and was last updated on 6/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.